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    <div style="text-align:center;">
    <table style=" width:100%">
        <tbody><tr>
            <td align="left" style="font-weight:bold;">Your Products Selection(s)</td>                
        </tr>        
        <tr>
            <td>                 
                <span id="categoryBlind" style="display:none; font-size:15px;font-weight:bold;padding-bottom:5px;">Horizontal Blinds</span>
                <table id="blindTable" class="table table-bordered table-condensed" cellspacing="0px" style="display:none;">            
                    <tbody><tr class="headerGrid">
                        <td rowspan="2" id="Td1" align="center" style="display:none;">Id</td>                
                        <td rowspan="2" id="Td2" align="center" style="width:20px;">Item</td>
                        <td rowspan="2" id="Td3" align="center">Name</td>
                        <td rowspan="2" id="Td4" align="center" style="width:20px;">QTY</td>
                        <td rowspan="2" id="Td5" align="center" style="width:80px;">Room</td>
                        <td rowspan="2" id="Td6" align="center" style="width:40px;">Width</td>
                        <td rowspan="2" id="Td7" align="center" style="width:40px;">Length</td>                    
                        <td colspan="2" id="Td8" align="center" style="width:30px;">Mount</td>           
                        <td colspan="2" id="controlTD" align="center" style="width:60px;">Control</td>
                        <td rowspan="2" id="Td10" align="center" style="width:15px;">H D &amp; SP</td>
                        <td rowspan="2" id="Td11" align="center" style="width:15px;">2 on 1</td>                    
                        <td rowspan="2" id="Td12" align="center" style="width:15px;">3 on 1</td>                    
                        <td rowspan="2" id="Td13" align="center" style="width:30px;">Valances</td>
                        <td rowspan="2" id="Td14" align="center" style="width:70px;">Color</td>    
                        <td rowspan="2" id="Td9" align="center">Note</td>                        
                    </tr>
                    <tr class="headerGrid">
                        <td id="Td15" align="center" style="width:15px;">IM</td>
                        <td id="Td16" align="center" style="width:15px;">OM</td>
                        <td id="wandTilterTD" align="center" style="width:1px;display:none;">Wand TILT</td>
                        <td id="Td18" align="center" style="width:30px;">Titler</td>
                        <td id="Td19" align="center" style="width:30px;">Lift Cord</td>
                    </tr>            
                </tbody></table>
            </td>
        </tr>        
        <tr>
            <td>
                <span id="categoryVertical" style="display:none;font-size:15px;font-weight:bold;padding-bottom:5px;">Vertical Blinds</span>
                <table id="verticalTable" class="table table-bordered table-condensed" cellspacing="0px" style="display:none;">            
                    <tbody><tr class="headerGrid">
                        <td rowspan="2" id="Td20" align="center" style="display:none;">Id</td>                
                        <td rowspan="2" id="Td21" align="center" style="width:20px;">Item</td>
                        <td rowspan="2" id="Td22" align="center">Name</td>
                        <td rowspan="2" id="Td23" align="center" style="width:20px;">QTY</td>
                        <td rowspan="2" id="Td24" align="center" style="width:80px;">Room</td>
                        <td rowspan="2" id="Td25" align="center" style="width:40px;">Width</td>
                        <td rowspan="2" id="Td33" align="center" style="width:40px;">Length</td>                    
                        <td colspan="2" id="Td27" align="center" style="width:30px;">Mount</td>           
                        <td colspan="3" id="stackTD" align="center" style="width:90px;">Stack</td>                
                        <td colspan="2" id="Td34" align="center" style="width:40px;">Control</td>                
                        <td rowspan="2" id="Td35" align="center" style="width:30px;">Valances</td>
                        <td rowspan="2" id="Td53" align="center" style="width:70px;">Color</td>  
                        <td rowspan="2" id="Td17" align="center">Note</td>                        
                    </tr>
                    <tr class="headerGrid">
                        <td id="Td36" align="center" style="width:15px;">IM</td>
                        <td id="Td37" align="center" style="width:15px;">OM</td>                
                        <td id="stackLeft" align="center" style="width:25px;">Left</td>
                        <td id="stackCenter" align="center" style="width:40px;">Center Split</td>
                        <td id="stackRight" align="center" style="width:25px;">Right</td>
                        <td id="controlLeft" align="center" style="width:20px;">L</td>
                        <td id="controlRight" align="center" style="width:20px;">R</td>
                    </tr>            
                </tbody></table>
            </td>
        </tr>       
        <tr>
            <td>
                <span id="categoryArches" style="font-size: 15px; font-weight: bold; padding-bottom: 5px;">Arches</span>
                <table id="archesTable" class="table table-bordered table-condensed" cellspacing="0px">            
                    <tbody><tr class="headerGrid">
                        <td rowspan="2" id="Td38" align="center" style="display:none;">Id</td>                
                        <td rowspan="2" id="Td39" align="center" style="width:20px;">Item</td>
                        <td rowspan="2" id="Td65" align="center">Name</td>
                        <td rowspan="2" id="Td41" align="center" style="width:20px;">QTY</td>
                        <td rowspan="2" id="Td55" align="center" style="width:80px;">Room</td>
                        <td rowspan="2" id="Td56" align="center" style="width:40px;">Width</td>                
                        <td colspan="1" id="Td63" align="center" style="width:30px;">Mount</td>                
                        <td rowspan="2" id="Td64" align="center" style="width:70px;">Color</td>   
                        <td rowspan="2" id="Td54" align="center">Note</td>                        
                    </tr>
                    <tr class="headerGrid">
                        <td id="Td51" align="center" style="width:30px;">OM</td>                
                    </tr>            
                </tbody><tr><td align="left" class="" style="display: none;">0</td><td align="center" class="">1</td><td align="center" class="">Slatburst</td><td align="center" class="">1</td><td align="center" class="">Home Offices</td><td align="center" class="">36 </td><td align="center" class=""> </td><td align="center" class="">Off White</td><td align="center" class=""></td></tr></table>   
            </td>
        </tr>        
        <tr>
            <td>     
                <span id="categoryShutter" style="display:none;font-size:15px;font-weight:bold;padding-bottom:5px;">Shutter</span>
                <table id="shutterTable" class="table table-bordered table-condensed" cellspacing="0px" style="display:none;">            
                    <tbody><tr class="headerGrid">
                        <td rowspan="2" id="Td43" align="center" style="display:none;">Id</td>                
                        <td rowspan="2" id="Td44" align="center" style="width:20px;">Item</td>
                        <td rowspan="2" id="Td45" align="center">Name</td>
                        <td rowspan="2" id="Td46" align="center" style="width:20px;">QTY</td>
                        <td rowspan="2" id="Td57" align="center" style="width:80px;">Room</td>
                        <td rowspan="2" id="Td58" align="center" style="width:40px;">Width</td>
                        <td rowspan="2" id="Td59" align="center" style="width:40px;">Length</td>                    
                        <td colspan="2" id="Td60" align="center" style="width:30px;">Mount</td>                
                        <td rowspan="2" id="louverTD" align="center" style="width:40px;">Louver size</td>
                        <td rowspan="2" id="frameTD" align="center" style="width:60px;">Frame</td>
                        <td rowspan="2" id="postTD" align="center" style="width:40px;">T-Post</td>
                        <td rowspan="2" id="panelTD" align="center" style="width:30px;">No. of panel</td>
                        <td rowspan="2" id="dividerTD" align="center" style="width:40px;">Divider</td>
                        <td colspan="2" id="Td61" align="center" style="width:50px;">Control</td>
                        <td rowspan="2" id="Td62" align="center" style="width:70px;">Color</td>    
                        <td rowspan="2" id="Td66" align="center">Note</td>                       
                    </tr>
                    <tr class="headerGrid">
                        <td id="Td69" align="center" style="width:15px;">IM</td>
                        <td id="Td70" align="center" style="width:15px;">OM</td>                
                        <td id="Td71" align="center" style="width:25px;">STD. Tilt</td>
                        <td id="Td72" align="center" style="width:25px;">M. Tilt</td>
                    </tr>            
                </tbody></table>
            </td>
        </tr>        
        <tr>
            <td>
                <span id="categoryShades" style="display:none;font-size:15px;font-weight:bold;padding-bottom:5px;">Shades</span>
                <table id="shadesTable" class="table table-bordered table-condensed" cellspacing="0px" style="display:none;">            
                    <tbody><tr class="headerGrid">
                        <td rowspan="2" id="Td26" align="center" style="display:none;">Id</td>                
                        <td rowspan="2" id="Td28" align="center" style="width:20px;">Item</td>
                        <td rowspan="2" id="Td29" align="center">Name</td>
                        <td rowspan="2" id="Td30" align="center" style="width:20px;">QTY</td>
                        <td rowspan="2" id="Td31" align="center" style="width:80px;">Room</td>
                        <td rowspan="2" id="Td32" align="center" style="width:40px;">Width</td>
                        <td rowspan="2" id="Td40" align="center" style="width:40px;">Length</td>                    
                        <td colspan="2" id="Td42" align="center" style="width:30px;">Mount</td>           
                        <td colspan="2" id="Td47" align="center" style="width:60px;">Control</td>
                        <td rowspan="2" id="Td48" align="center" style="width:15px;">H D &amp; SP</td>
                        <td rowspan="2" id="Td49" align="center" style="width:15px;">2 on 1</td>                    
                        <td rowspan="2" id="Td50" align="center" style="width:15px;">3 on 1</td>                    
                        <td rowspan="2" id="Td51" align="center" style="width:30px;">Valances</td>
                        <td rowspan="2" id="Td52" align="center" style="width:70px;">Color</td> 
                        <td rowspan="2" id="Td67" align="center">Note</td>                          
                    </tr>
                    <tr class="headerGrid">
                        <td id="Td75" align="center" style="width:15px;">IM</td>
                        <td id="Td76" align="center" style="width:15px;">OM</td>                
                        <td id="leftControlTD" align="center" style="width:30px;">Left</td>
                        <td id="rightControlTD" align="center" style="width:30px;">Right</td>
                    </tr>            
                </tbody></table>           
            </td>        
        </tr>
        <tr>
            <td align="left"><h4>Price Summary</h4></td>
        </tr>
        <tr>
            <td align="left">
                <table>
                    <tbody><tr>
                        <td class="highlight">Tax:</td>
                        <td>
                            
                            <span id="ctl00_ContentPlaceHolder1_lbTax" class="Note">$0.00</span>
                           
                        </td>
                    </tr>                    
                    <tr>
                        <td class="highlight">Products price:</td>
                        <td>
                           
                            <span id="ctl00_ContentPlaceHolder1_lbProductPrice" class="Note">$30.40</span>
                            
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">Total:</td>
                        <td>
                           
                            <span id="ctl00_ContentPlaceHolder1_lbTotal" class="Note">$30.40</span>
                            
                        </td>
                    </tr>
                </tbody></table>
            </td>
        </tr>            
         <tr>
            <td align="left"><h4>Billing Information</h4></td>
        </tr>
       <tr>
            <td align="left">
                <table class="form-inline payment-info">
                    <tbody><tr>
                        <td class="highlight">First Name</td>
                        <td>
                            <input name="ctl00$ContentPlaceHolder1$txtFirstName" type="text" id="ctl00_ContentPlaceHolder1_txtFirstName" maxlength="50" class="span2 clear-margin-bottom">
                            <span class="Font-Color">*</span>                                
                            <div id="divFirstName" class="Note hide" style="width:150px;display:none;"></div>
                        </td>
                        <td class="highlight">Last Name</td>
                        <td>
                            <input name="ctl00$ContentPlaceHolder1$txtLastName" type="text" id="ctl00_ContentPlaceHolder1_txtLastName" maxlength="50" class="span2 clear-margin-bottom">
                            <span class="Font-Color">*</span>
                            <div id="divLastName" class="Note hide" style="width:150px;display:none;"></div>
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">Address</td>
                        <td colspan="3">
                            <input name="ctl00$ContentPlaceHolder1$txtAddress" type="text" id="ctl00_ContentPlaceHolder1_txtAddress" class="width_370px clear-margin-bottom" maxlength="100">
                            <span class="Font-Color">*</span>
                            <div id="divAddress" class="Note hide" style="width:410px;display:none;"></div>
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">City</td>
                        <td colspan="3">
                            <input name="ctl00$ContentPlaceHolder1$txtCity" type="text" id="ctl00_ContentPlaceHolder1_txtCity" class="width_370px clear-margin-bottom" maxlength="50">                                
                            <span class="Font-Color">*</span>
                            <div id="divCity" class="Note hide" style="width:410px;display:none;"></div>
                        </td>                            
                    </tr>
                   
                     <tr>
                        <td class="highlight">State/Province</td>
                        <td>
                            <div id="ctl00_ContentPlaceHolder1_UpdatePanel3">
	
                                    <select name="ctl00$ContentPlaceHolder1$ddlState" id="ctl00_ContentPlaceHolder1_ddlState" class="span2 original">
		<option value="AL_0">Alabama</option>
		<option value="AK_0">Alaska</option>
		<option value="AZ_0">Arizona</option>
		<option value="AR_0">Arkansas</option>
		<option value="CA_0">California</option>
		<option value="CO_0">Colorado</option>
		<option value="CT_0">Connecticut</option>
		<option value="DE_0">Delaware</option>
		<option value="FL_0">Florida</option>
		<option value="GA_0">Georgia</option>
		<option value="HI_0">Hawaii</option>
		<option value="ID_0">Idaho</option>
		<option value="IL_0">Illinois</option>
		<option value="IN_0">Indiana</option>
		<option value="IA_0">Iowa</option>
		<option value="KS_0">Kansas</option>
		<option value="KS_0">Kentucky</option>
		<option value="LA_0">Lousiana</option>
		<option value="ME_0">Maine</option>
		<option value="MD_0">Maryland</option>
		<option value="MA_0">Massachusetts</option>
		<option value="MI_0">Michigan</option>
		<option value="MN_0">Minnesota</option>
		<option value="MS_0">Mississippi</option>
		<option value="MO_0">Missouri</option>
		<option value="MT_0">Montana</option>
		<option value="NE_0">Nebraska</option>
		<option value="NV_0">Nevada</option>
		<option value="NH_0">New Hampshire</option>
		<option value="NJ_0">New Jersey</option>
		<option value="NM_0">New Mexico</option>
		<option value="NY_0">New York</option>
		<option value="NC_0">North Carolina</option>
		<option value="ND_0">North Dakota</option>
		<option value="OH_0">Ohio</option>
		<option value="OK_0">Oklahoma</option>
		<option value="OR_0">Oregon</option>
		<option value="PA_0">Pennsylvania</option>
		<option value="RI_0">Rhode Island</option>
		<option value="SC_0">South Carolina</option>
		<option value="SD_0">South Dakota</option>
		<option value="TN_0">Tennessee</option>
		<option selected="selected" value="TX_0">Texas</option>
		<option value="UT_0">Utah</option>
		<option value="VT_0">Vermont</option>
		<option value="VA_0">Virginia</option>
		<option value="WA_0">Washington</option>
		<option value="WV_0">West Virginia</option>
		<option value="WI_0">Wisconsin</option>
		<option value="WY_0">Wyoming</option>
	</select>
                                    <span class="Font-Color">*</span> 
                                    <div id="divState" class="Note hide" style="width:155px;display:none;"></div>       
                                
</div>                                
                        </td>
                        <td class="highlight">Zip/Postal Code</td>
                        <td>
                            <input name="ctl00$ContentPlaceHolder1$txtZip" type="text" id="ctl00_ContentPlaceHolder1_txtZip" class="span2 clear-margin-bottom">
                            <span class="Font-Color">*</span>
                            <div id="divZip" class="Note hide" style="width:150px;display:none;"></div>
                        </td>
                    </tr>
                     <tr>
                        <td class="highlight">Country</td>                            
                        <td colspan="3">
                            <div id="ctl00_ContentPlaceHolder1_UpdatePanel2">
	
                                    <select name="ctl00$ContentPlaceHolder1$ddlCountry" class="span2 original">
		<option value="AF">Afghanistan</option>
		<option value="AL">Albania</option>
		<option value="DZ">Algeria</option>
		<option value="AS">American Samoa</option>
		<option value="AD">Andorra</option>
		<option value="AO">Angola</option>
		<option value="AI">Anguilla</option>
		<option value="AQ">Antarctica</option>
		<option value="AG">Antigua And Barbuda</option>
		<option value="AR">Argentina</option>
		<option value="AM">Armenia</option>
		<option value="AW">Aruba</option>
		<option value="AU">Australia</option>
		<option value="AT">Austria</option>
		<option value="AZ">Azerbaijan</option>
		<option value="BS">Bahamas</option>
		<option value="BH">Bahrain</option>
		<option value="BD">Bangladesh</option>
		<option value="BB">Barbados</option>
		<option value="BY">Belarus</option>
		<option value="BE">Belgium</option>
		<option value="BZ">Belize</option>
		<option value="BJ">Benin</option>
		<option value="BM">Bermuda</option>
		<option value="BT">Bhutan</option>
		<option value="BO">Bolivia</option>
		<option value="BA">Bosnia And Herzegowina</option>
		<option value="BW">Botswana</option>
		<option value="BV">Bouvet Island</option>
		<option value="BR">Brazil</option>
		<option value="IO">British Indian Ocean Territory</option>
		<option value="BN">Brunei Darussalam</option>
		<option value="BG">Bulgaria</option>
		<option value="BF">Burkina Faso</option>
		<option value="BI">Burundi</option>
		<option value="KH">Cambodia</option>
		<option value="CM">Cameroon</option>
		<option value="CA">Canada</option>
		<option value="CV">Cape Verde</option>
		<option value="KY">Cayman Islands</option>
		<option value="CF">Central African Republic</option>
		<option value="TD">Chad</option>
		<option value="CL">Chile</option>
		<option value="CN">China</option>
		<option value="CX">Christmas Island</option>
		<option value="CC">Cocos (Keeling) Islands</option>
		<option value="CO">Colombia</option>
		<option value="KM">Comoros</option>
		<option value="CG">Congo</option>
		<option value="CK">Cook Islands</option>
		<option value="CR">Costa Rica</option>
		<option value="CI">Cote D'Ivoire</option>
		<option value="HR">Croatia (Local Name: Hrvatska)</option>
		<option value="CU">Cuba</option>
		<option value="CY">Cyprus</option>
		<option value="CZ">Czech Republic</option>
		<option value="DK">Denmark</option>
		<option value="DJ">Djibouti</option>
		<option value="DM">Dominica</option>
		<option value="DO">Dominican Republic</option>
		<option value="TP">East Timor</option>
		<option value="EC">Ecuador</option>
		<option value="EG">Egypt</option>
		<option value="SV">El Salvador</option>
		<option value="GQ">Equatorial Guinea</option>
		<option value="ER">Eritrea</option>
		<option value="EE">Estonia</option>
		<option value="ET">Ethiopia</option>
		<option value="FK">Falkland Islands (Malvinas)</option>
		<option value="FO">Faroe Islands</option>
		<option value="FJ">Fiji</option>
		<option value="FI">Finland</option>
		<option value="FR">France</option>
		<option value="GF">French Guiana</option>
		<option value="PF">French Polynesia</option>
		<option value="TF">French Southern Territories</option>
		<option value="GA">Gabon</option>
		<option value="GM">Gambia</option>
		<option value="GE">Georgia</option>
		<option value="DE">Germany</option>
		<option value="GH">Ghana</option>
		<option value="GI">Gibraltar</option>
		<option value="GR">Greece</option>
		<option value="GL">Greenland</option>
		<option value="GD">Grenada</option>
		<option value="GP">Guadeloupe</option>
		<option value="GU">Guam</option>
		<option value="GT">Guatemala</option>
		<option value="GN">Guinea</option>
		<option value="GW">Guinea-Bissau</option>
		<option value="GY">Guyana</option>
		<option value="HT">Haiti</option>
		<option value="HM">Heard And Mc Donald Islands</option>
		<option value="VA">Holy See (Vatican City State)</option>
		<option value="HN">Honduras</option>
		<option value="HK">Hong Kong</option>
		<option value="HU">Hungary</option>
		<option value="IS">Icel And</option>
		<option value="IN">India</option>
		<option value="ID">Indonesia</option>
		<option value="IR">Iran (Islamic Republic Of)</option>
		<option value="IQ">Iraq</option>
		<option value="IE">Ireland</option>
		<option value="IL">Israel</option>
		<option value="IT">Italy</option>
		<option value="JM">Jamaica</option>
		<option value="JP">Japan</option>
		<option value="JO">Jordan</option>
		<option value="KZ">Kazakhstan</option>
		<option value="KE">Kenya</option>
		<option value="KI">Kiribati</option>
		<option value="KP">Korea, Dem People'S Republic</option>
		<option value="KR">Korea, Republic Of</option>
		<option value="KW">Kuwait</option>
		<option value="KG">Kyrgyzstan</option>
		<option value="LA">Lao People'S Dem Republic</option>
		<option value="LV">Latvia</option>
		<option value="LB">Lebanon</option>
		<option value="LS">Lesotho</option>
		<option value="LR">Liberia</option>
		<option value="LY">Libyan Arab Jamahiriya</option>
		<option value="LI">Liechtenstein</option>
		<option value="LT">Lithuania</option>
		<option value="LU">Luxembourg</option>
		<option value="MO">Macau</option>
		<option value="MK">Macedonia</option>
		<option value="MG">Madagascar</option>
		<option value="MW">Malawi</option>
		<option value="MY">Malaysia</option>
		<option value="MV">Maldives</option>
		<option value="ML">Mali</option>
		<option value="MT">Malta</option>
		<option value="MH">Marshall Islands</option>
		<option value="MQ">Martinique</option>
		<option value="MR">Mauritania</option>
		<option value="MU">Mauritius</option>
		<option value="YT">Mayotte</option>
		<option value="MX">Mexico</option>
		<option value="FM">Micronesia, Federated States</option>
		<option value="MD">Moldova, Republic Of</option>
		<option value="MC">Monaco</option>
		<option value="MN">Mongolia</option>
		<option value="MS">Montserrat</option>
		<option value="MA">Morocco</option>
		<option value="MZ">Mozambique</option>
		<option value="MM">Myanmar</option>
		<option value="NA">Namibia</option>
		<option value="NR">Nauru</option>
		<option value="NP">Nepal</option>
		<option value="NL">Netherlands</option>
		<option value="AN">Netherlands Ant Illes</option>
		<option value="NC">New Caledonia</option>
		<option value="NZ">New Zealand</option>
		<option value="NI">Nicaragua</option>
		<option value="NE">Niger</option>
		<option value="NG">Nigeria</option>
		<option value="NU">Niue</option>
		<option value="NF">Norfolk Island</option>
		<option value="MP">Northern Mariana Islands</option>
		<option value="NO">Norway</option>
		<option value="OM">Oman</option>
		<option value="PK">Pakistan</option>
		<option value="PW">Palau</option>
		<option value="PA">Panama</option>
		<option value="PG">Papua New Guinea</option>
		<option value="PY">Paraguay</option>
		<option value="PE">Peru</option>
		<option value="PH">Philippines</option>
		<option value="PN">Pitcairn</option>
		<option value="PL">Poland</option>
		<option value="PT">Portugal</option>
		<option value="PR">Puerto Rico</option>
		<option value="QA">Qatar</option>
		<option value="RE">Reunion</option>
		<option value="RO">Romania</option>
		<option value="RU">Russian Federation</option>
		<option value="RW">Rwanda</option>
		<option value="KN">Saint K Itts And Nevis</option>
		<option value="LC">Saint Lucia</option>
		<option value="VC">Saint Vincent, The Grenadines</option>
		<option value="WS">Samoa</option>
		<option value="SM">San Marino</option>
		<option value="ST">Sao Tome And Principe</option>
		<option value="SA">Saudi Arabia</option>
		<option value="SN">Senegal</option>
		<option value="SC">Seychelles</option>
		<option value="SL">Sierra Leone</option>
		<option value="SG">Singapore</option>
		<option value="SK">Slovakia (Slovak Republic)</option>
		<option value="SI">Slovenia</option>
		<option value="SB">Solomon Islands</option>
		<option value="SO">Somalia</option>
		<option value="ZA">South Africa</option>
		<option value="GS">South Georgia , S Sandwich Is.</option>
		<option value="ES">Spain</option>
		<option value="LK">Sri Lanka</option>
		<option value="SH">St. Helena</option>
		<option value="PM">St. Pierre And Miquelon</option>
		<option value="SD">Sudan</option>
		<option value="SR">Suriname</option>
		<option value="SJ">Svalbard, Jan Mayen Islands</option>
		<option value="SZ">Sw Aziland</option>
		<option value="SE">Sweden</option>
		<option value="CH">Switzerland</option>
		<option value="SY">Syrian Arab Republic</option>
		<option value="TW">Taiwan</option>
		<option value="TJ">Tajikistan</option>
		<option value="TZ">Tanzania, United Republic Of</option>
		<option value="TH">Thailand</option>
		<option value="TG">Togo</option>
		<option value="TK">Tokelau</option>
		<option value="TO">Tonga</option>
		<option value="TT">Trinidad And Tobago</option>
		<option value="TN">Tunisia</option>
		<option value="TR">Turkey</option>
		<option value="TM">Turkmenistan</option>
		<option value="TC">Turks And Caicos Islands</option>
		<option value="TV">Tuvalu</option>
		<option value="UG">Uganda</option>
		<option value="UA">Ukraine</option>
		<option value="AE">United Arab Emirates</option>
		<option value="GB">United Kingdom</option>
		<option selected="selected" value="US">United States</option>
		<option value="UM">United States Minor Is.</option>
		<option value="UY">Uruguay</option>
		<option value="UZ">Uzbekistan</option>
		<option value="VU">Vanuatu</option>
		<option value="VE">Venezuela</option>
		<option value="VN">Viet Nam</option>
		<option value="VG">Virgin Islands (British)</option>
		<option value="VI">Virgin Islands (U.S.)</option>
		<option value="WF">Wallis And Futuna Islands</option>
		<option value="EH">Western Sahara</option>
		<option value="YE">Yemen</option>
		<option value="YU">Yugoslavia</option>
		<option value="ZR">Zaire</option>
		<option value="ZM">Zambia</option>
		<option value="ZW">Zimbabwe</option>

	</select>    
                                    <span class="Font-Color">*</span>
                                
</div>                                
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">Email</td>
                        <td colspan="3">
                            <input name="ctl00$ContentPlaceHolder1$txtEmail" type="text" id="ctl00_ContentPlaceHolder1_txtEmail" class="width_370px clear-margin-bottom" maxlength="250">
                            <span class="Font-Color">*</span>
                            <div id="divEmail" class="Note hide" style="width:410px;display:none;"></div>
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">Phone</td>
                        <td colspan="3">
                            <input name="ctl00$ContentPlaceHolder1$txtPhone" type="text" id="ctl00_ContentPlaceHolder1_txtPhone" class="width_370px clear-margin-bottom" maxlength="50">
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">Fax</td>
                        <td colspan="3">
                            <input name="ctl00$ContentPlaceHolder1$txtFax" type="text" id="ctl00_ContentPlaceHolder1_txtFax" class="width_370px clear-margin-bottom" maxlength="50">
                        </td>
                    </tr>
                </tbody></table>
            </td>
        </tr>
        <tr>
            <td align="left"><h4>Shipping Information</h4></td>
        </tr>
        <tr>
            <td align="left">
                <table class="form-inline payment-info">
                    <tbody><tr>
                        <td colspan="4">
                            <label class="checkbox">
                                <input type="checkbox" id="ckCopy" >
                                Copy Billing information to Shipping information
                            </label>
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">First Name</td>
                        <td>
                            <input name="ctl00$ContentPlaceHolder1$txtShipFirstName" type="text" id="ctl00_ContentPlaceHolder1_txtShipFirstName" class="span2 clear-margin-bottom" maxlength="50">
                            <span class="Font-Color">*</span>
                            <div id="divShipFirstName" class="Note hide" style="width:150px;display:none;"></div>
                        </td>
                        <td class="highlight">Last Name</td>
                        <td>
                            <input name="ctl00$ContentPlaceHolder1$txtShipLastName" type="text" id="ctl00_ContentPlaceHolder1_txtShipLastName" class="span2 clear-margin-bottom" maxlength="50">
                            <span class="Font-Color">*</span>
                            <div id="divShipLastName" class="Note hide" style="width:150px;display:none;"></div>
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">Address</td>
                        <td colspan="3">
                            <input name="ctl00$ContentPlaceHolder1$txtShipAddress" type="text" id="ctl00_ContentPlaceHolder1_txtShipAddress" class="width_370px clear-margin-bottom" maxlength="100">
                            <span class="Font-Color">*</span>
                            <div id="divShipAddress" class="Note hide" style="width:410px;display:none;"></div>
                        </td>
                    </tr>
                    <tr>
                        <td class="highlight">City</td>
                        <td colspan="3">
                            <input name="ctl00$ContentPlaceHolder1$txtShipCity" type="text" id="ctl00_ContentPlaceHolder1_txtShipCity" class="width_370px clear-margin-bottom" maxlength="50">
                            <span class="Font-Color">*</span>
                            <div id="divShipCity" class="Note hide" style="width:410px;display:none;"></div>
                        </td>
                    </tr>
                       
                    <tr>
                        <td class="highlight">State/Province</td>
                        <td>
                            <div id="ctl00_ContentPlaceHolder1_UpdatePanel5">
	
                                    <select name="ctl00$ContentPlaceHolder1$ddlShipState" id="ctl00_ContentPlaceHolder1_ddlShipState" class="span2 original" onchange="ddlShipStateChange(this.id)">
		<option value="AL_0">Alabama</option>
		<option value="AK_0">Alaska</option>
		<option value="AZ_0">Arizona</option>
		<option value="AR_0">Arkansas</option>
		<option value="CA_0">California</option>
		<option value="CO_0">Colorado</option>
		<option value="CT_0">Connecticut</option>
		<option value="DE_0">Delaware</option>
		<option value="FL_0">Florida</option>
		<option value="GA_0">Georgia</option>
		<option value="HI_0">Hawaii</option>
		<option value="ID_0">Idaho</option>
		<option value="IL_0">Illinois</option>
		<option value="IN_0">Indiana</option>
		<option value="IA_0">Iowa</option>
		<option value="KS_0">Kansas</option>
		<option value="KS_0">Kentucky</option>
		<option value="LA_0">Lousiana</option>
		<option value="ME_0">Maine</option>
		<option value="MD_0">Maryland</option>
		<option value="MA_0">Massachusetts</option>
		<option value="MI_0">Michigan</option>
		<option value="MN_0">Minnesota</option>
		<option value="MS_0">Mississippi</option>
		<option value="MO_0">Missouri</option>
		<option value="MT_0">Montana</option>
		<option value="NE_0">Nebraska</option>
		<option value="NV_0">Nevada</option>
		<option value="NH_0">New Hampshire</option>
		<option value="NJ_0">New Jersey</option>
		<option value="NM_0">New Mexico</option>
		<option value="NY_0">New York</option>
		<option value="NC_0">North Carolina</option>
		<option value="ND_0">North Dakota</option>
		<option value="OH_0">Ohio</option>
		<option value="OK_0">Oklahoma</option>
		<option value="OR_0">Oregon</option>
		<option value="PA_0">Pennsylvania</option>
		<option value="RI_0">Rhode Island</option>
		<option value="SC_0">South Carolina</option>
		<option value="SD_0">South Dakota</option>
		<option value="TN_0">Tennessee</option>
		<option selected="selected" value="TX_0">Texas</option>
		<option value="UT_0">Utah</option>
		<option value="VT_0">Vermont</option>
		<option value="VA_0">Virginia</option>
		<option value="WA_0">Washington</option>
		<option value="WV_0">West Virginia</option>
		<option value="WI_0">Wisconsin</option>
		<option value="WY_0">Wyoming</option>
	</select>
                                    <span class="Font-Color">*</span>
                                
</div>                            
                        </td>
                        <td class="highlight">Zip/Postal Code</td>
                        <td>
                            <input name="ctl00$ContentPlaceHolder1$txtShipZip" type="text" id="ctl00_ContentPlaceHolder1_txtShipZip" class="span2 clear-margin-bottom">
                            <span class="Font-Color">*</span>
                        </td>
                    </tr>   
                    <tr>
                        <td class="highlight">Country</td>
                        <td colspan="3">
                            <div id="ctl00_ContentPlaceHolder1_UpdatePanel4">
	
                                    <select name="ctl00$ContentPlaceHolder1$ddlShipCountry" class="span2 original">
		<option value="AF">Afghanistan</option>
		<option value="AL">Albania</option>
		<option value="DZ">Algeria</option>
		<option value="AS">American Samoa</option>
		<option value="AD">Andorra</option>
		<option value="AO">Angola</option>
		<option value="AI">Anguilla</option>
		<option value="AQ">Antarctica</option>
		<option value="AG">Antigua And Barbuda</option>
		<option value="AR">Argentina</option>
		<option value="AM">Armenia</option>
		<option value="AW">Aruba</option>
		<option value="AU">Australia</option>
		<option value="AT">Austria</option>
		<option value="AZ">Azerbaijan</option>
		<option value="BS">Bahamas</option>
		<option value="BH">Bahrain</option>
		<option value="BD">Bangladesh</option>
		<option value="BB">Barbados</option>
		<option value="BY">Belarus</option>
		<option value="BE">Belgium</option>
		<option value="BZ">Belize</option>
		<option value="BJ">Benin</option>
		<option value="BM">Bermuda</option>
		<option value="BT">Bhutan</option>
		<option value="BO">Bolivia</option>
		<option value="BA">Bosnia And Herzegowina</option>
		<option value="BW">Botswana</option>
		<option value="BV">Bouvet Island</option>
		<option value="BR">Brazil</option>
		<option value="IO">British Indian Ocean Territory</option>
		<option value="BN">Brunei Darussalam</option>
		<option value="BG">Bulgaria</option>
		<option value="BF">Burkina Faso</option>
		<option value="BI">Burundi</option>
		<option value="KH">Cambodia</option>
		<option value="CM">Cameroon</option>
		<option value="CA">Canada</option>
		<option value="CV">Cape Verde</option>
		<option value="KY">Cayman Islands</option>
		<option value="CF">Central African Republic</option>
		<option value="TD">Chad</option>
		<option value="CL">Chile</option>
		<option value="CN">China</option>
		<option value="CX">Christmas Island</option>
		<option value="CC">Cocos (Keeling) Islands</option>
		<option value="CO">Colombia</option>
		<option value="KM">Comoros</option>
		<option value="CG">Congo</option>
		<option value="CK">Cook Islands</option>
		<option value="CR">Costa Rica</option>
		<option value="CI">Cote D'Ivoire</option>
		<option value="HR">Croatia (Local Name: Hrvatska)</option>
		<option value="CU">Cuba</option>
		<option value="CY">Cyprus</option>
		<option value="CZ">Czech Republic</option>
		<option value="DK">Denmark</option>
		<option value="DJ">Djibouti</option>
		<option value="DM">Dominica</option>
		<option value="DO">Dominican Republic</option>
		<option value="TP">East Timor</option>
		<option value="EC">Ecuador</option>
		<option value="EG">Egypt</option>
		<option value="SV">El Salvador</option>
		<option value="GQ">Equatorial Guinea</option>
		<option value="ER">Eritrea</option>
		<option value="EE">Estonia</option>
		<option value="ET">Ethiopia</option>
		<option value="FK">Falkland Islands (Malvinas)</option>
		<option value="FO">Faroe Islands</option>
		<option value="FJ">Fiji</option>
		<option value="FI">Finland</option>
		<option value="FR">France</option>
		<option value="GF">French Guiana</option>
		<option value="PF">French Polynesia</option>
		<option value="TF">French Southern Territories</option>
		<option value="GA">Gabon</option>
		<option value="GM">Gambia</option>
		<option value="GE">Georgia</option>
		<option value="DE">Germany</option>
		<option value="GH">Ghana</option>
		<option value="GI">Gibraltar</option>
		<option value="GR">Greece</option>
		<option value="GL">Greenland</option>
		<option value="GD">Grenada</option>
		<option value="GP">Guadeloupe</option>
		<option value="GU">Guam</option>
		<option value="GT">Guatemala</option>
		<option value="GN">Guinea</option>
		<option value="GW">Guinea-Bissau</option>
		<option value="GY">Guyana</option>
		<option value="HT">Haiti</option>
		<option value="HM">Heard And Mc Donald Islands</option>
		<option value="VA">Holy See (Vatican City State)</option>
		<option value="HN">Honduras</option>
		<option value="HK">Hong Kong</option>
		<option value="HU">Hungary</option>
		<option value="IS">Icel And</option>
		<option value="IN">India</option>
		<option value="ID">Indonesia</option>
		<option value="IR">Iran (Islamic Republic Of)</option>
		<option value="IQ">Iraq</option>
		<option value="IE">Ireland</option>
		<option value="IL">Israel</option>
		<option value="IT">Italy</option>
		<option value="JM">Jamaica</option>
		<option value="JP">Japan</option>
		<option value="JO">Jordan</option>
		<option value="KZ">Kazakhstan</option>
		<option value="KE">Kenya</option>
		<option value="KI">Kiribati</option>
		<option value="KP">Korea, Dem People'S Republic</option>
		<option value="KR">Korea, Republic Of</option>
		<option value="KW">Kuwait</option>
		<option value="KG">Kyrgyzstan</option>
		<option value="LA">Lao People'S Dem Republic</option>
		<option value="LV">Latvia</option>
		<option value="LB">Lebanon</option>
		<option value="LS">Lesotho</option>
		<option value="LR">Liberia</option>
		<option value="LY">Libyan Arab Jamahiriya</option>
		<option value="LI">Liechtenstein</option>
		<option value="LT">Lithuania</option>
		<option value="LU">Luxembourg</option>
		<option value="MO">Macau</option>
		<option value="MK">Macedonia</option>
		<option value="MG">Madagascar</option>
		<option value="MW">Malawi</option>
		<option value="MY">Malaysia</option>
		<option value="MV">Maldives</option>
		<option value="ML">Mali</option>
		<option value="MT">Malta</option>
		<option value="MH">Marshall Islands</option>
		<option value="MQ">Martinique</option>
		<option value="MR">Mauritania</option>
		<option value="MU">Mauritius</option>
		<option value="YT">Mayotte</option>
		<option value="MX">Mexico</option>
		<option value="FM">Micronesia, Federated States</option>
		<option value="MD">Moldova, Republic Of</option>
		<option value="MC">Monaco</option>
		<option value="MN">Mongolia</option>
		<option value="MS">Montserrat</option>
		<option value="MA">Morocco</option>
		<option value="MZ">Mozambique</option>
		<option value="MM">Myanmar</option>
		<option value="NA">Namibia</option>
		<option value="NR">Nauru</option>
		<option value="NP">Nepal</option>
		<option value="NL">Netherlands</option>
		<option value="AN">Netherlands Ant Illes</option>
		<option value="NC">New Caledonia</option>
		<option value="NZ">New Zealand</option>
		<option value="NI">Nicaragua</option>
		<option value="NE">Niger</option>
		<option value="NG">Nigeria</option>
		<option value="NU">Niue</option>
		<option value="NF">Norfolk Island</option>
		<option value="MP">Northern Mariana Islands</option>
		<option value="NO">Norway</option>
		<option value="OM">Oman</option>
		<option value="PK">Pakistan</option>
		<option value="PW">Palau</option>
		<option value="PA">Panama</option>
		<option value="PG">Papua New Guinea</option>
		<option value="PY">Paraguay</option>
		<option value="PE">Peru</option>
		<option value="PH">Philippines</option>
		<option value="PN">Pitcairn</option>
		<option value="PL">Poland</option>
		<option value="PT">Portugal</option>
		<option value="PR">Puerto Rico</option>
		<option value="QA">Qatar</option>
		<option value="RE">Reunion</option>
		<option value="RO">Romania</option>
		<option value="RU">Russian Federation</option>
		<option value="RW">Rwanda</option>
		<option value="KN">Saint K Itts And Nevis</option>
		<option value="LC">Saint Lucia</option>
		<option value="VC">Saint Vincent, The Grenadines</option>
		<option value="WS">Samoa</option>
		<option value="SM">San Marino</option>
		<option value="ST">Sao Tome And Principe</option>
		<option value="SA">Saudi Arabia</option>
		<option value="SN">Senegal</option>
		<option value="SC">Seychelles</option>
		<option value="SL">Sierra Leone</option>
		<option value="SG">Singapore</option>
		<option value="SK">Slovakia (Slovak Republic)</option>
		<option value="SI">Slovenia</option>
		<option value="SB">Solomon Islands</option>
		<option value="SO">Somalia</option>
		<option value="ZA">South Africa</option>
		<option value="GS">South Georgia , S Sandwich Is.</option>
		<option value="ES">Spain</option>
		<option value="LK">Sri Lanka</option>
		<option value="SH">St. Helena</option>
		<option value="PM">St. Pierre And Miquelon</option>
		<option value="SD">Sudan</option>
		<option value="SR">Suriname</option>
		<option value="SJ">Svalbard, Jan Mayen Islands</option>
		<option value="SZ">Sw Aziland</option>
		<option value="SE">Sweden</option>
		<option value="CH">Switzerland</option>
		<option value="SY">Syrian Arab Republic</option>
		<option value="TW">Taiwan</option>
		<option value="TJ">Tajikistan</option>
		<option value="TZ">Tanzania, United Republic Of</option>
		<option value="TH">Thailand</option>
		<option value="TG">Togo</option>
		<option value="TK">Tokelau</option>
		<option value="TO">Tonga</option>
		<option value="TT">Trinidad And Tobago</option>
		<option value="TN">Tunisia</option>
		<option value="TR">Turkey</option>
		<option value="TM">Turkmenistan</option>
		<option value="TC">Turks And Caicos Islands</option>
		<option value="TV">Tuvalu</option>
		<option value="UG">Uganda</option>
		<option value="UA">Ukraine</option>
		<option value="AE">United Arab Emirates</option>
		<option value="GB">United Kingdom</option>
		<option selected="selected" value="US">United States</option>
		<option value="UM">United States Minor Is.</option>
		<option value="UY">Uruguay</option>
		<option value="UZ">Uzbekistan</option>
		<option value="VU">Vanuatu</option>
		<option value="VE">Venezuela</option>
		<option value="VN">Viet Nam</option>
		<option value="VG">Virgin Islands (British)</option>
		<option value="VI">Virgin Islands (U.S.)</option>
		<option value="WF">Wallis And Futuna Islands</option>
		<option value="EH">Western Sahara</option>
		<option value="YE">Yemen</option>
		<option value="YU">Yugoslavia</option>
		<option value="ZR">Zaire</option>
		<option value="ZM">Zambia</option>
		<option value="ZW">Zimbabwe</option>

	</select>
                                    <span class="Font-Color">*</span>        
                                
</div>                            
                        </td>
                    </tr>                  
                    <tr><td colspan="4"></td></tr>
                    <tr>
                        <td></td>
                        <td colspan="3">
                            <label class="checkbox" style="font-weight:bold;font-size:16px;font-family:Times New Roman;">
                                <input id="ckRead" type="checkbox">
                                I have read and accept <a href="MPPolicy.aspx" target="_blank">the policies</a><span class="Font-Color">*</span>
                            </label>
                        </td>
                    </tr>
                </tbody></table>
            </td>
        </tr>
      
        <tr>
            <td align="left"><span class="Font-Color">* Required Field</span></td>
        </tr>
        <tr>
            <td align="right">
                <input type="button" value="Submit" class="btn btn-primary" >                                
                <input type="button" id="btReset" value="Reset Form" class="btn"> 
            </td>                
        </tr>            
    </tbody></table>        
</div>
</asp:Content>
